Dr Willis Tyler Nichols, MD in Foley, AL - Medicare General Surgery

Dr Willis Tyler Nichols, MD is a medicare enrolled "Surgery" physician in Foley, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Foley Clinic Corp. and his current practice location is 1711 N Mckenzie St Ste 201, Foley, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 424-1620.

Dr Willis Tyler Nichols is licensed to practice in Alabama (license number 34161) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063722684.

Contact Information

	Dr Willis Tyler Nichols, MD
	1711 N Mckenzie St Ste 201, Foley, AL 36535-2282
	(251) 424-1620
	(251) 952-6620

Map and Direction

Physician's Profile

Full Name	Dr Willis Tyler Nichols
Gender	Male
Speciality	General Surgery
Experience	16 Years
Location	1711 N Mckenzie St Ste 201, Foley, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Willis Tyler Nichols attended and graduated from University Of Alabama School Of Medicine in 2010

NPI Data:

NPI Number: 1063722684
Provider Enumeration Date: 10/15/2010
Last Update Date: 10/14/2025

Medicare PECOS Information:

PECOS PAC ID: 8325287279
Enrollment ID: I20150610001102

Medical Identifiers

Medical identifiers for Dr Willis Tyler Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063722684	NPI	-	NPPES
214769	Medicaid	AL
105926100	Medicaid	FL
211911	Medicaid	AL
00187592	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	34161 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Baldwin Regional Medical Center	Foley, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foley Clinic Corp.	5193741759	75

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Willis Tyler Nichols allows following entities to bill medicare on his behalf.

Entity Name	Foley Clinic Corp.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629027826 PECOS PAC ID: 5193741759 Enrollment ID: O20051021000930

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Willis Tyler Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Willis Tyler Nichols, MD 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 Ph: (251) 949-3479	Dr Willis Tyler Nichols, MD 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 Ph: (251) 424-1620

Reviews and Comments

Surgery Doctors in Foley, AL

Steven W. Kinsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 N Mckenzie St Ste 201, Foley, AL 36535 Phone: 251-952-6597 Fax: 251-952-6620
Kaci Deann Sims, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 N Mckenzie St Ste 201, Foley, AL 36535 Phone: 251-952-6597 Fax: 251-952-6597
Dr. William Garretson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1613 N Mckenzie St, Foley, AL 36535 Phone: 251-949-3920 Fax: 251-949-3930
Darren Michael Rowan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1851 N. Mckenzie Street, Suite 101, Foley, AL 36535 Phone: 251-424-1620 Fax: 251-424-1621
Dr. Jeffrey L Caylor, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1711 N Mckenzie St Ste 201, Foley, AL 36535 Phone: 251-952-6597 Fax: 251-952-6620
David Wayne Cain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1701 N Mckenzie St, Foley, AL 36535 Phone: 251-943-8082 Fax: 251-943-8092

Dr Willis Tyler Nichols, MD - Medicare General Surgery in Foley, AL